Gabapentin
Gabapentin is an antiepileptic that is used as an adjunctive treatment of partial seizures with or without secondary generalisation. Gabapentin is also used for the treatmnet of neuropathic pain.
Primary Characteristics
It is of Synthetic origin and belongs to GABA.
Molecular Weight: 171.3 · pKa: 3.7,10.7 · Solubility in Water: 1 in 10 · Solubility in Alcohol: 1 in 90 · Non-proprietary name: Gabapentin.

Pharmacokinetics
Absorption: Gabapentin has an oral bioavailability is 30% (±30%).
Distribution: Gabapentin has a volume of distribution is 57 litre. plasma protein binding is negligible.
Elimination: plasma half-life is 5 - 7 hr, renal excretion is ~ 60 % unchanged.
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Indications
Gabapentin is primarily indicated in conditions like Epilepsy, Neuropathic pain, Partial seizures, Partial seizures with 2ndry generalization.
Contraindications
Gabapentin is contraindicated in conditions like Myoclonic seizures, Penconceptual period.
Dosage
Gabapentin's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 0 – 1.8 g | — | Every 8h | Neuropathic Pain | |
| 300 mg | 300 mg | Every 8h | PO | Epilepsy (Once on first day, twice on 2nd day, three times on 3rd day) |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
The signs and symptoms that are produced after acute overdosage of Gabapentin are Diarrhea, Slurred speech.
Gabapentin is known to cause more or less tolerable side effects which are usually transient. These include Abnormal thinking, Amnesia , Arthralgia, Asthenia , Ataxia, Confusion, Diplopia, dizziness, Drowsiness, Dyspepsia , Fatigue, Flatulence, Headache, Leucopenia, Purpura, Rashes , Somnolence , Tremor, Unsteadiness , UTI , Weight gain.
Warnings / Precautions
Interference in Pathology
Gabapentin may interfere in the diagnosis of False +ve dipstick test for Urinary Protein.
Available Brands
Storage Conditions
Drug Classification
- 1.5 — Anticonvulsants and Antiepileptics
Manufacturers
Manufacturers of Gabapentin in Pakistan: